IT'S ALL ABOUT ME!!

The goal of the HCBS Final Rule is to make sure that the services you receive give you the opportunity for independence in making life decisions, to fully participate in community life, and to make sure your rights are respected!
If someone is assisting you with completing this survey, the person assisting must Answer all questions while thinking about staffing supports. Are we meeting the expectation or the individual is able to complete - "With the assistance of staffing supports?"

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* 1. My Information

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* 2. Name of the person who assisted you in completing the survey if applicable

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* 3. Date

Date

T